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Related Experiment Videos

Delayed presentation of right ventricular bullet embolus.

L Wales1, D P Jenkins, P L Smith

  • 1Department of Cardiac Surgery, Hammersmith Hospital, London, England. l.wales@ic.ac.uk

The Annals of Thoracic Surgery
|August 23, 2001
PubMed
Summary

A bullet lodged in the heart's right ventricle after a gunshot wound caused delayed cardiac irritability symptoms 4 years later. This case highlights the rare long-term risks of retained cardiac missiles.

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Area of Science:

  • Cardiovascular Surgery
  • Trauma Surgery
  • Ballistics Medicine

Background:

  • Venous bullet embolism to the heart is a rare but serious complication of penetrating gunshot trauma.
  • Limited data exists on the long-term outcomes of missiles retained within the right ventricle.

Observation:

  • A case of a right ventricular bullet embolus is presented following a left-sided thoracic gunshot wound.
  • The patient experienced delayed-onset cardiac irritability symptoms, manifesting four years post-injury.

Findings:

  • The retained bullet in the right ventricle was associated with delayed cardiac irritability.
  • This case underscores the potential for late complications from intracardiac missile retention.

Implications:

Related Experiment Videos

  • Highlights the importance of considering delayed cardiac complications in patients with retained intracardiac projectiles.
  • Suggests the need for long-term cardiac monitoring in select cases of penetrating thoracic trauma with retained missiles.
  • Contributes to the scarce literature on the long-term sequelae of right ventricular bullet emboli.